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58
SUMMARIES
Summaries of articles in the New Zealand Medical Journal
Vol 129:1433
To read full articles from the NZMJ, please click on the image
and you will be redirected to the article (login required).
The costs of elective and emergency
abdominal aortic aneurysm repair: a
comparative single centre study
Kevin Niall Peek, Manar Khashram, J Elisabeth
Wells, Justin A Roake
The diagnostic role of ventilation/
perfusion scans versus computed
tomography pulmonary angiography
in obstetric patients investigated for
pulmonary embolism at Wellington
Hospital from 2010 to 2012
Sally Easther, Fali Langdana, Dushyant Maharaj,
Peter Abels, Richard Beasley, James Entwisle
Over a 3-year period at a tertiary hospital in
the South Island, 217 patients presented with a
large abdominal aortic aneurysm (AAA) for an
arranged repair or with a rupture. On average,
repairing a rupture AAA was ~11,000 NZD more
expensive than arranged AAA repairs. The costs
difference was primarily due to blood products
used and when excluding patients that died
within 4 days from rupture, the costs difference
was ~17,000 NZD. Bearing this in mind, the
costs incurred treating rupture AAA can be
used to support the case for an AAA national
screening program; a well-established and
cost-effective program.
Pulmonary embolism is a life threatening
condition that can prove fatal to pregnant
women. It accounts for 10% of all maternal
deaths. There is no current consensus in
New Zealand regarding investigations of
this condition. We propose a simple clinical
algorithm that could help streamline the
management of this condition in pregnancy.
Clinical utility and outcome analysis of
faecal calprotectin in Hawkes Bay District
Health Board
Wayne Bai, Thomas Boswell
IBS (irritable bowel syndrome) is a common
condition affecting 10-20% of patients in the
Western World and it is reported to be one of
the top 10 reasons for general practitioner (GP)
visits. To differentiate patients with IBS from
inflammatory bowel disease (IBD) patients and
also to detect flare of disease in known IBD
patients makes up a significant proportion in the
gastroenterology outpatients workload. The use
of faecal calprotectin (FCP) to effectively screen
for patients with IBS from active IBD patients and
to identify those with a flare of disease in known
IBD patients is an effective way to reduce demand
for colonoscopy.